Business Analyst, Clinical & Reimbursement Policy

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Business Analyst, Clinical & Reimbursement Policy in United States.

This is a high-impact healthcare analytics role focused on translating complex Medicare Advantage regulations into precise, operational reimbursement and clinical policies.
You will act as a key subject matter expert, ensuring that national and local coverage determinations are accurately interpreted and embedded into claims adjudication systems.
The role sits at the intersection of healthcare policy, data, and technology, enabling a more automated and accurate payment ecosystem.
You will collaborate closely with clinical, compliance, configuration, and data teams to ensure policy intent is consistently reflected in system execution.
A strong emphasis is placed on leveraging AI and modern analytical tools to improve monitoring, research, and regulatory tracking.
This position requires both strategic thinking and hands-on execution to manage the full lifecycle of reimbursement policies.
You will play a central role in shaping scalable, data-driven healthcare operations that directly impact member care and payment accuracy.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Business Analyst, Clinical & Reimbursement Policy in United States.

This is a high-impact healthcare analytics role focused on translating complex Medicare Advantage regulations into precise, operational reimbursement and clinical policies.
You will act as a key subject matter expert, ensuring that national and local coverage determinations are accurately interpreted and embedded into claims adjudication systems.
The role sits at the intersection of healthcare policy, data, and technology, enabling a more automated and accurate payment ecosystem.
You will collaborate closely with clinical, compliance, configuration, and data teams to ensure policy intent is consistently reflected in system execution.
A strong emphasis is placed on leveraging AI and modern analytical tools to improve monitoring, research, and regulatory tracking.
This position requires both strategic thinking and hands-on execution to manage the full lifecycle of reimbursement policies.
You will play a central role in shaping scalable, data-driven healthcare operations that directly impact member care and payment accuracy.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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